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14 Cards in this Set

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The nursing process

A way of thinking and acting based on scientific method


2. Used as a tool identify patient problem and organized method to meet patient need

Components of nursing process

Assessment


Nursing diagnosis


Planning


Implementation


Evaluation

Assessment

Collecting and organizing documenting, and validating a patient's health data.


Data are gather from pt physical assessment and interviews family as well as from physician and pts medical record.


Data from other health professionals and diagnostic tests included in assessment.

Nursing diagnosis

Sorting and analyzing the assessment data to identify potential health problems.


2. Problems identified during the the process are specific nursing diagnosis. Nursing diagnoses prioritized and entered into nursing care plan.

First step into nursing process

Planning

Series of step where nurse and clients set priorities and goals to eliminate diminish or control identified problems.


Goal should be stated with specific outcomes.


Nurse and client collaborate to choose specific intervention to enable the pt to meet specific outcomes listed in the care plan


2 step in nursing diagnosis

Evaluation

Assessing pt to evaluate his or her respond to the nursing interventions


Responses compared with expected outcome to see if out outcome has been met


Based on result care plan may need changed

Critical thinking

Required to use nursing process successfully


Means required careful judgment


Directed purposeful mental activity. Ideas are plan, evaluated and desire outcome is decided.

To think carefully

Problem solving and decision making

1. Define problem


2. Consider all possible alternative s as solutions


3. Consider out come


4. Predict likely hood of all possible alternative occurring


5. Chose alternative that is best chance of success and fewest undesirable outcomes

Skills for critical thinking

. Effective reading


.effective writing


. Effective communication


Attentive listening

Critical thinking in nursing

Require skills and experience as well as knowledge


Influence by standards and code of ethics

Critical thinking and the Nursing process

Assessment organized systematic,includes gathering information and recording data



Critical thinking

Nursing diagnosis required analysis of data gathered clustering related information identify problem areas and choosing appropriate nursing diagnoses.


Planning: determine specific desired outcomes for each nursing diagnosis

Critical thinking in nursing dx

Implementation: preparing for and performing intervention

Evaluation

Gathering information to see if expected out come was achieved.